<!-- 车位管理 -->
<div class="hbox hbox-auto-xs hbox-auto-sm" ng-init="
    app.settings.asideFolded = false; 
    app.settings.asideDock = false;
  ">

  <!-- main -->
  <div class="col">
    <!-- main header -->
    <div class="bg-light lter b-b wrapper-md">
      <div class="row">
        <div class="col-sm-6 col-xs-12">
          <h1 class="m-n font-thin h3 text-black">费用调整申请</h1>
        </div>
      </div>
    </div>
    <!-- / main header -->

    <div class="wrapper-md">
      <form name="" class="form-horizontal form-validation">
        <div class="panel panel-default">
          <div class="panel-heading"><strong>业主查询</strong></div>
          <div class="panel-body">
            <div class="row">
              <div class="col-lg-4 col-sm-6">
                <div class="form-group">
                  <label class="col-sm-5 control-label nowrap">房屋编号:</label>
                  <div class="col-sm-7">
                    <input type="text" class="form-control" placeholder="">
                  </div>
                </div>
              </div>

              <div class="col-lg-4 col-sm-6">
                <div class="form-group">
                  <label class="col-sm-5 control-label nowrap">业主信息:</label>
                  <div class="col-sm-7">
                    <div class="row">
                      <div class="col-sm-6"><input type="text" name="" class="form-control"></div>
                      <div class="col-sm-6">
                        <div class="nowrap">(姓名、电话)</div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>

          <div class="panel-footer  text-right">
            <button class="btn btn-info m-r">&nbsp;&nbsp;重置&nbsp;&nbsp;</button>
            <button class="btn btn-success m-l">&nbsp;&nbsp;查询&nbsp;&nbsp;</button>
          </div>
          <div class="pabel-footer">
            <div class="container-fluid">
              <table class="table table-bordered m-t">
                <tr>
                  <td>1-1-1302 送肿鸡 13121212121</td>
                  <td>1-1-1302 送肿鸡 13121212121</td>
                  <td>1-1-1302 送肿鸡 13121212121</td>
                </tr>
                <tr>
                  <td>1-1-1302 送肿鸡 13121212121</td>
                  <td>1-1-1302 送肿鸡 13121212121</td>
                  <td>1-1-1302 送肿鸡 13121212121</td>
                </tr>
                <tr>
                  <td>1-1-1302 送肿鸡 13121212121</td>
                  <td>1-1-1302 送肿鸡 13121212121</td>
                  <td>1-1-1302 送肿鸡 13121212121</td>
                </tr>
              </table>
            </div>
          </div>
        </div>
      </form>

      <div class="panel panel-default">
        <div class="panel-heading"><strong>已选业主信息</strong></div>
        <div class="panel-body">
          <div class="row form-horizontal">
            <div class="col-lg-4 col-sm-6">
              <div class="form-group">
                <label class="col-sm-5 control-label nowrap">房屋编号:</label>
                <div class="col-sm-7">
                  <p class="form-control-static">1-2-1302</p>
                </div>
              </div>
            </div>

            <div class="col-lg-4 col-sm-6">
              <div class="form-group">
                <label class="col-sm-5 control-label nowrap">业主姓名:</label>
                <div class="col-sm-7">
                  <p class="form-control-static">宋仲基</p>
                </div>
              </div>
            </div>

            <div class="col-lg-4 col-sm-6">
              <div class="form-group">
                <label class="col-sm-5 control-label nowrap">联系电话:</label>
                <div class="col-sm-7">
                  <p class="form-control-static">13112341234</p>
                </div>
              </div>
            </div>

            <div class="col-lg-4 col-sm-6">
              <div class="form-group">
                <label class="col-sm-5 control-label nowrap">建筑面积:</label>
                <div class="col-sm-7">
                  <p class="form-control-static">100.00</p>
                </div>
              </div>
            </div>

            <div class="col-lg-4 col-sm-6">
              <div class="form-group">
                <label class="col-sm-5 control-label nowrap">自有车位:</label>
                <div class="col-sm-7">
                  <p class="form-control-static">1</p>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>

      <div class="panel panel-default">
        <div class="panel-heading">
          <strong>费用调整类型：</strong>
          <label class="i-checks"><input type="radio" /><i></i>  计划型收费调整</label>
          <label class="i-checks"><input type="radio" /><i></i>  定向优惠</label>
        </div>

        <div class="container-fluid">

          <div class="panel panel-default m-t">
            <div class="panel-heading">收费单选择</div>
            <div class="panel-boding">
              <div class="table-responsive">
                <table class="table table-striped b-t b-light">
                  <thead>
                    <tr>
                      <th>序号</th>
                      <th>收费电话</th>
                      <th>收费项目</th>
                      <th>计费方式</th>
                      <th>单价（元）</th>
                      <th>数量</th>
                      <th>时长</th>
                      <th>滞纳金</th>
                      <th>应收金额</th>
                      <th>起始时间</th>
                      <th>截止日期</th>
                      <th>起数</th>
                      <th>止数</th>
                    </tr>
                  </thead>

                  <tbody>
                    <tr>
                      <td>1</td>
                      <td>sf0010020102</td>
                      <td>物业费</td>
                      <td>建筑面积</td>
                      <td>1.00/平方米/月</td>
                      <td>100</td>
                      <td>12个月</td>
                      <td>0.00</td>
                      <td>1200.00</td>
                      <td>2017-07-01</td>
                      <td>2018-07-01</td>
                      <td></td>
                      <td></td>
                    </tr>
                    <tr>
                      <td>1</td>
                      <td>sf0010020102</td>
                      <td>物业费</td>
                      <td>建筑面积</td>
                      <td>1.00/平方米/月</td>
                      <td>100</td>
                      <td>12个月</td>
                      <td>0.00</td>
                      <td>1200.00</td>
                      <td>2017-07-01</td>
                      <td>2018-07-01</td>
                      <td></td>
                      <td></td>
                    </tr>
                    <tr>
                      <td>1</td>
                      <td>sf0010020102</td>
                      <td>物业费</td>
                      <td>建筑面积</td>
                      <td>1.00/平方米/月</td>
                      <td>100</td>
                      <td>12个月</td>
                      <td>0.00</td>
                      <td>1200.00</td>
                      <td>2017-07-01</td>
                      <td>2018-07-01</td>
                      <td></td>
                      <td></td>
                    </tr>
                    <tr>
                      <td>1</td>
                      <td>sf0010020102</td>
                      <td>物业费</td>
                      <td>建筑面积</td>
                      <td>1.00/平方米/月</td>
                      <td>100</td>
                      <td>12个月</td>
                      <td>0.00</td>
                      <td>1200.00</td>
                      <td>2017-07-01</td>
                      <td>2018-07-01</td>
                      <td></td>
                      <td></td>
                    </tr>
                  </tbody>
                </table>
              </div>
            </div>
          </div>

          <div class="panel panel-success">
            <div class="panel-heading">已选收费单</div>
            <div class="panel-boding">
              <div class="table-responsive">
                <table class="table table-striped b-t b-light">
                  <thead>
                    <tr>
                      <th>序号</th>
                      <th>收费电话</th>
                      <th>收费项目</th>
                      <th>计费方式</th>
                      <th>单价（元）</th>
                      <th>数量</th>
                      <th>时长</th>
                      <th>滞纳金</th>
                      <th>应收金额</th>
                      <th>起始时间</th>
                      <th>截止日期</th>
                      <th>起数</th>
                      <th>止数</th>
                    </tr>
                  </thead>

                  <tbody>
                    <tr>
                      <td>1</td>
                      <td>sf0010020102</td>
                      <td>物业费</td>
                      <td>建筑面积</td>
                      <td>1.00/平方米/月</td>
                      <td>100</td>
                      <td>12个月</td>
                      <td>0.00</td>
                      <td>1200.00</td>
                      <td>2017-07-01</td>
                      <td>2018-07-01</td>
                      <td></td>
                      <td></td>
                    </tr>
                  </tbody>
                </table>
              </div>
            </div>
          </div>
        </div>
      </div>

      <form class="form">
        <div class="panel panel-default">
          <div class="panel-heading"><strong>费用调整单使用规则：</strong></div>
          <div class="panel-body">
            <div class="col-sm-6">
              <p class="">使用范围</p>
              <label class="checkbox i-checkd"><input type="radio" /><i></i> 可用于任何收费项目</label>
              <label class="checkbox i-checkd"><input type="radio" /><i></i> 仅限用于申请调整的收费项</label>
            </div>
            <div class="col-sm-6">
              <p class="">使用条件</p>
              <label class="checkbox i-checkd"><input type="radio" /><i></i> 无限制</label>
              <label class="checkbox i-checkd"><input type="radio" /><i></i> 使用后申请调整的收费单已完成</label>
            </div>
          </div>
        </div>

        <div class="panel panel-default">
          <div class="panel-body">
            <div class="form-group">
              <div class="row">
                <div class="col-sm-3 col-md-1"><label class="form-control-label">费用调整原因：</label></div>
                <div class="col-sm-9 col-md-11">
                  <input type="text" class="form-control" />
                </div>
              </div>
            </div>
            <div class="form-group">
              <div class="row">
                <div class="col-sm-3 col-md-1"> <label class="form-control-label">申请调整金额：</label></div>
                <div class="col-sm-9 col-md-11">
                  <div class="input-group">
                    <input type="text" class="form-control" />
                    <span class="input-group-addon">元</span>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>

        <div class="text-center">
          <button class="btn btn-info">申请</button>
          <button class="btn btn-info">返回</button>
        </div>
      </form>

    </div>
  </div>
</div>